Effect of a specific training intervention with task interruptions on the quality of simulated advance life support: A randomized multi centered controlled simulation study

IF 2.1 4区医学 Q2 EMERGENCY MEDICINE Australasian Emergency Care Pub Date : 2023-06-01 DOI:10.1016/j.auec.2022.10.001

Jennifer Truchot , Daphné Michelet , Anne Laure Philippon , David Drummond , Yonathan Freund , Patrick Plaisance

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引用次数: 1

Abstract

Purpose

Task interruptions (TI) are frequent disturbances for emergency professionals performing advanced life support (ALS). The aim of our study was to evaluate a specific training intervention with TI on the quality of simulated ALS.

Methods

During this multi centered randomized controlled trial, each team included one resident, one nurse and one emergency physician. The teams were randomized for the nature of their training session: control (without interruption) or intervention (with TI). The primary outcome was non-technical skills assessed with the TEAM score. We also measured the no flow time, the Cardiff score and chest compression depth and rate.

Results

On a total of 21 included teams, 11 were randomized to a control training session and 10 to the specific TI training. During training, teams’ characteristics and skills were similar between the two groups. During the evaluation session, the TEAM score was not different between groups: median score for control group 33,5 vs 31,5 for intervention group. We also report similar no flow time and Cardiff score.

Conclusion

In this simulated ALS study, a specific training intervention with TI did not improve technical and non-technical skills. Further research is required to limit the impact of TI in emergency settings.

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具有任务中断的特定训练干预对模拟提前生命支持质量的影响:一项随机多中心控制模拟研究

目的任务中断（TI）是执行高级生命支持（ALS）的急救专业人员经常遇到的干扰。我们研究的目的是评估TI对模拟ALS质量的特定训练干预。方法在这项多中心随机对照试验中，每个团队包括一名住院医师、一名护士和一名急诊医生。这些小组根据训练课程的性质被随机分组：对照（不间断）或干预（TI）。主要结果是用TEAM评分评估非技术技能。我们还测量了无血流时间、Cardiff评分以及胸部压迫深度和速率。结果在总共21个被纳入的团队中，11个被随机分配到对照训练课程，10个被分配到特定的TI训练课程。在训练过程中，两组的团队特点和技能相似。在评估期间，两组之间的TEAM得分没有差异：对照组的中位得分为33.5，干预组为31.5。我们也报告了类似的无流量时间和加的夫得分。结论在这项模拟ALS研究中，TI的特定训练干预并没有提高技术和非技术技能。需要进一步的研究来限制TI在紧急情况下的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Emergency Care Nursing-Emergency Nursing

CiteScore

3.30

自引率

5.60%

发文量

审稿时长

37 days

期刊介绍： Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.